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NPI Code Detail

MEDICARE: PERMIAN PREMIER HEALTH SERVICES INC

MEDICARE: PERMIAN PREMIER HEALTH SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician
2207V00000XObstetrics & Gynecology Physician
32085R0202XDiagnostic Radiology Physician
4208600000XSurgery Physician
5367500000XCertified Registered Nurse Anesthetist
6207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1932664091
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERMIAN PREMIER HEALTH SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 24573
Second Line :
City : BELFAST
State : ME
Zip : 04915-4496
Country : US
Telephone Number : 615-467-4158
Fax Number :
Provider Business Practice Location Address
First Line : 2301 S GREGG ST
Second Line :
City : BIG SPRING
State : TX
Zip : 79720-5531
Country : US
Telephone Number : 615-467-4474
Fax Number : 615-467-1267
Authorized Official
Title or Position : PRESIDENT
Name : AMY GUAY
Credential :
Telephone Number : 617-789-5018
Provider Enumeration Date : 02/04/2019
Last Update Date : 08/22/2021

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Directions to “PERMIAN PREMIER HEALTH SERVICES INC ” Practice Location

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